Develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members; foster growth of managed care products; and enhance profitability of Aetna.
Recruits and negotiates physician and/or provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals.
Fundamental components & physical requirements include but are not limited to (* denotes essential functions):
Additional information:
Education and certification requirements
Bachelor's degree desired or equivalent work experience (3+ years contracting)
Additional information (situational competencies, skills, work location requirements, etc.)
Communication skills - Strong written and verbal communication skills
Critical thinking, and interpersonal skills
Mastery of provider contracts, contracting options, PADU (alternate language manual) guidelines as well as provider configurations
In-depth knowledge of the managed care industry and practices, as well as a strong understanding of Aetna competitor strategies, practices, and financial/contracting arrangements
Business knowledge including health care and Aetna culture, i.e., how to get things done within the company
Solid negotiating skills
All your information will be kept confidential according to EEO guidelines.
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